PAMELA M VAUGHT (NPI# 1154318806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154318806 |
| Entity Type | Individual |
| Full Name | PAMELA M VAUGHT |
| Credential | ED.D. |
| Practice Address |
1256 Walker Ave Nw Grand Rapids MI 49504 |
| Mailing Address |
7240 Riverdell Farms Rd Lowell MI 49331 |
| Practice Telephone | 6162352910 |
| Practice Fax Number | 6162351436 |
| Mailing Telephone | 6168973059 |
| Enumeration Date | 2005-09-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YP2500X |
Counselor Specialization: Professional |
6401010056 | MI | Behavioral Health & Social Service Providers |
| X | 101YP2500X |
Counselor Specialization: Professional |
07010001257 | VA | Behavioral Health & Social Service Providers |
| X | 106H00000X | Marriage & Family Therapist | 4101006334 | MI | Behavioral Health & Social Service Providers |
| X | 106H00000X | Marriage & Family Therapist | 0717000110 | VA | Behavioral Health & Social Service Providers |
| Street Address |
1256 WALKER AVE NW |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477168995 | Paige Siver | Behavior Technician | 1256 Walker Ave Nw, Grand Rapids, MI 49504-4067 | 2020-09-11 |
| 1508470188 | Dylan Roesler | Behavior Technician | 1256 Walker Ave Nw, Grand Rapids, MI 49504-4067 | 2020-09-01 |
| 1841802121 | Matthew Miller | Registered Nurse | 1256 Walker Ave Nw, Grand Rapids, MI 49504-4067 | 2020-08-19 |
| 1801427455 | Madalyn Hoffman | Behavior Technician | 1256 Walker Ave Nw, Grand Rapids, MI 49504-4067 | 2020-02-03 |
| 1003456633 | Audrianna Boersen | Behavior Technician | 1256 Walker Ave Nw, Grand Rapids, MI 49504-4067 | 2020-01-12 |
| 1043855349 | Jasia Marie Wright | Behavior Technician | 1256 Walker Ave Nw, Grand Rapids, MI 49504-4067 | 2019-11-10 |
| 1407499775 | Destiny Marie Patterson | Behavior Technician | 1256 Walker Ave Nw, Grand Rapids, MI 49504-4067 | 2019-10-19 |
| 1821595471 | Sarah Eileen Taylor | Behavior Technician | 1256 Walker Ave Nw, Grand Rapids, MI 49504-4067 | 2018-04-10 |
| 1891143616 | Cara Michelle Delange | Behavioral Analyst | 1256 Walker Ave Nw, Grand Rapids, MI 49504-4067 | 2016-06-02 |
| 1821471558 | Elizabeth Rouse | Registered Nurse | 1256 Walker Ave Nw, Grand Rapids, MI 49504-4067 | 2015-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477049518 | Mark Contreras | Nurse Practitioner | 72 Sheldon Blvd Se # 130, Grand Rapids, MI 49504 | 2018-07-02 |
| 1205338753 | Kelli Marie Selby | Physical Therapist | 235 Wealthy, Grand Rapids, MI 49504 | 2018-03-01 |
| 1871094474 | Kymiri Lyn Coles | Physical Therapist | 1000 Edison Ave Ne, Grand Rapids, MI 49504 | 2018-02-28 |
| 1881132744 | Courtney Glinka | Behavior Technician | 1149 Butterworth St Sw, Grand Rapids, MI 49504 | 2017-02-10 |
| 1649650300 | Alyson Renee Vela | Social Worker | 1256 Walker Ave Ne, Grand Rapids, MI 49504 | 2015-06-08 |
| 1508258500 | Grand Rapids Natural Health | Nutritionist | 638 Fulton Street W., Grand Rapids, MI 49504 | 2015-02-27 |
| 1144622598 | Robert Mclaren | Physical Therapist | 2807 Lake Michigan Dr Nw Ste 1, Grand Rapids, MI 49504 | 2014-09-17 |
| 1972854339 | Beth Ellen Gregory | Registered Nurse | 1956 Walker Avenue Northwest, Grand Rapids, MI 49504 | 2012-09-26 |
| 1588914147 | Unlimited Alternatives | Community/Behavioral Health | 282 Leonard, Grand Rapids, MI 49504 | 2012-09-11 |
| 1386912178 | Michael Allen Crawford | Pharmacist | 800 West Leonard Nw, Grand Rapids, MI 49504 | 2011-12-07 |
| Find all providers in zip 49504 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020558 | Danita Mcalister | Counselor | 2504 Normandy Dr Se Apt 213b, Grand Rapids, MI 49506-7901 | 2020-10-16 |
| 1013521574 | Megan Flier | Counselor | 3744 Bradford St Ne, Grand Rapids, MI 49525-3325 | 2020-09-02 |
| 1457962078 | Cappon Consulting LLC | Counselor | 1344 Mayfield Ave Ne, Grand Rapids, MI 49505-5525 | 2020-08-17 |
| 1124644596 | Travis James Atkinson | Counselor | 3000 Wausaukee Dr Ne, Grand Rapids, MI 49525-1916 | 2020-06-22 |
| 1639790207 | Tracey Wicks | Counselor | 78 Centerbrook St Se, Grand Rapids, MI 49548-6902 | 2020-05-05 |
| 1174160592 | Lindsey Elizabeth Rosa | Counselor | 845 5th St Nw Apt 2, Grand Rapids, MI 49504-5163 | 2019-12-04 |
| 1710530597 | New Way Counseling LLC | Counselor | 1971 E Beltline Ave Ne Ste C, Grand Rapids, MI 49525-7045 | 2019-07-19 |
| 1588216048 | Kate Jack | Counselor | 3351 Claystone St Se Ste G32, Grand Rapids, MI 49546-5794 | 2019-07-15 |
| 1104488105 | Travis Gordon | Counselor | 800 Monroe Ave Nw Ste 319, Grand Rapids, MI 49503-1451 | 2019-07-01 |
| 1255996575 | The Family Therapy Place Pllc | Counselor | 731 Front Ave Nw, Grand Rapids, MI 49504-5366 | 2019-05-02 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49504 |
Please comment or provide details below to improve the information on PAMELA M VAUGHT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.